Perfil de ciudad del C.S. Laura Rodríguez Dulanto Duksil, Comas, Lima, República del Perú / City profile of C.S. Laura Rodríguez Dulanto Duksil, Comas, Lima, Republic of Peru

El perfil parte de la situación demográfica así como de las condicionantes sociales que podrían influir en la salud materno neonatal y del niño(a) en todo su curso de vida, posteriormente se presenta el estado de la salud de la mujer en edad fértil, teniendo en cuenta su salud física y nutricional y su salud sexual y reproductiva. También se presenta el estado de la salud materna y del neonato, seguido de la salud en la población menor de 5 años de edad. Así mismo, el documento presenta el estado de la mortalidad materna, mortalidad en población neonatal y en la niñez. Se concluye el perfil con la presentación del estado de la oferta de los servicios para la atención materno neonatal y al final se presentan las conclusiones y recomendaciones respectivas

The International Study of Wheezing in Infants: questionnaire validation.

BACKGROUND: There are no internationally validated questionnaires to investigate the prevalence of infant wheezing. This study was undertaken to validate a questionnaire for the International Study on the Prevalence of Wheezing in Infants (Estudio Internacional de Sibilancias en Lactantes, EISL). MATERIAL AND METHODS: Construct and criterion validity were tested for the question 'Has your baby had wheezing or whistling in the chest during his/her first 12 months of life?'. Construct validity (i.e. the ability of parents and doctors to refer to the same symptoms with the same words) was tested in a sample of 50 wheezing and 50 non-wheezy infants 12-15 months of age in each of 10 centres from 6 different Spanish- or Portuguese-speaking countries. Criterion validity (i.e. the ability of parents to correctly detect the symptom in the general population) was evaluated in 2 samples (Santiago, Chile and Cartagena, Spain) of 50 wheezing and 50 non-wheezing infants (according to parents) of the same age, randomly selected from the general population, who were later blindly diagnosed by a paediatric pulmonologist. RESULTS: Construct validity was very high (kappa test: 0.98-1) in all centres. According to Youden's index, criterion validity was good both in Cartagena (75.5%) and in Santiago (67.0%). Adding questions about asthma medication did not improve diagnosis accuracy. CONCLUSIONS: The EISL questionnaire significantly distinguished wheezy infants from healthy ones. This questionnaire has a strong validity and can be employed in large international multicentre studies on wheezing during infancy.